Building a Skilled Healthcare Workforce Skills Based Training Promotion (STEP) Mayor’s Office of Employment Development March 2, 2004

June Governors Workforce Investment Board issues Request for Proposal Strategy for low wage incumbent working parents to access skills training leading to promotional opportunity and wage increases Addresses critical skills shortage in the healthcare industry and the training needs of entry level healthcare workers Proposal based on prior success with Surgical Technician training model at University of Maryland Medical Awarded $575,000 grant 9/01, $437,000 grant in 9/02 and $500,000 in 9/03

The Model Employer-driven model focused on providing a career pathway Catalyst for industry consensus in both identifying demand and standardizing curriculum Employer commitment to 50% of training cost realized through combination of release time, clinical supervision and backfill cost

Our Partners Employers: The Johns Hopkins Hospital, University of Maryland Medical Systems, Mercy Medical Center, Lifebridge Health, Kernan Hospital, Genesis Eldercare, St. Agnes Hospital, Medstar Health Training Provider: Baltimore City Community College

Return on Investment PositionPharmacy Technician $10.20 per hour Nursing Extender $10.25 per hour Medical Coder $12.10 per hour Dietary Manager $12.40 per hour Surgical Technician $13.55 per hour Respiratory Therapists $17.35 per hour Housekeeping $6.50/hour 57% 58% 86% 91% 108% Dietary Aide $7.00/hour 46% 46% 73% 77% 94% Nursing Assistant $7.50/hour 36% 37% 61% 65% 81% 131% Environmental Service Worker $8.00/hour 25% 28% 51% 55% 69% Transporter $8.15/hour 25% 26% 49% 52% 66% 113% Security Guard $8.25/hour 24% 24% 47% 50% 64% Clerical Associate $8.40/hour 21% 22% 44% 48% 61% Medical Technician $11.00/hour 58%

Return on Investment Dietary Aide earning $14,560 participates in 632 hours of Surgical Technician training at a STEP cost of approximately $3,575. Upon successful completion and promotion, employee’s annual wages are increased to $28,184. Environmental Service Worker earning $16,640 participates in 256 hours of Pharmacy Technician training at a STEP cost of approximately $2,200. Upon completion and promotion, employee’s annual wages are increased to $21,216.

From the Participant’s View Graduates gain the opportunity to be employed in a professional career Graduates are promoted from within by employer Increased salary

From An Employer’s View Resolves dilemma of qualified worker shortage Select and train our own workers Promote from within: career track Investment in known resource Promotes retention (retention agreement)

Projected Outcomes STEP IIIIII Total Nursing Support Technician Surgical Technician Pharmacy Technician Medical Coding10 10 Dietary Management 5 5 Certified Medicine Aides10 10 LPN10 10 Medical Lab Technician10 10 Respiratory Technician10 10 Central Sterile Processing Tech10 10 Phlebotomy10 10 TOTAL

STEP I Outcomes Training Enrolled Completed Promoted Surgical Technician Nursing Support Technician Pharmacy Technician Medical Coding & Billing Total * Promoted workers realized an average annual increase of $

Enrollments Post STEP I Surgical Technician16 Dietary Management 5 Nursing Support Technician24 Certified Medicine Aides 12 Total57

Lessons Learned Value of the cohort training model Need to orchestrate career progression Importance of internal marketing strategies Continued review and modification of curriculum

Lessons Learned Parameters of the grant limit the pool of eligible applicants: family status, basic education requirements Selection of occupational areas is restricted due to the need for measurable outcomes within the lifespan of the grant.